Tuberculose

: um problema de saúde pública : articulação de cuidados entre os cuidados de saúde primários e os cuidados hospitalares

Abstract

At the end of the 70th decade in the XXth century, based on the reducing of rates of incidence, tuberculosis seemed to be in eradication. Since the second half of the 80th decade in the same century, a reversal of this scenery was started once the rates increased in the most of countries. Because of this, in 1993, World Health Oraganization (WHO) considered it a global emergency. About 98% of 3 million of deaths caused by tuberculosis in each year happens in the underdeveloped countries. Portugal has one of the highest rates of incidence between the countries of European Union. In 2006, 3333 cases were notified, wich corresponds to a rate of 2,9 / 100 000 inhabitants (inhab.). Based on the existing number of cases, the Module I and II were developed under the theme of tuberculosis. The first module was to diagnose the tuberculosis situation concerning the year of 2008 in the area of influence of Public Health Unit Center of Queluz, revealing that in the 5 civil parishes, 4 had very high rates of incidence (> 20 / 100 000 inhab.), highlighting Monte Abraão. Thus, we conclude that Tuberculosis is, without a doubt, an health problem in this community, justifying the appropriateness of intervention in this area. The intervention project was implemented in the civil parish of Monte Abraão, in Module II, because of being the civil parish with the higher incidence. It has been prepared to cover the three levels of prevention: was aimed at creating awareness about tuberculosis opened to the community; individuals with pulmonary tuberculosis have been identified; It was done an interview reception for users in treatment of pulmonary tuberculosis, which was supported on the Calgary´s Model for family evaluation, and also based on Madeleine Leininger´s definition for cultural care; it was also conducted an epidemiological survey to this same population. Finally, in Module III, it was developed and implemented a project with the aim of establishing joint care between the hospital and health centers. Users in Peritoneal Dialysis at the Nephrology Service of Curry Cabral´s Hospital, in general, are exclusive Hospital´s Care users. In order to refer them to the Primary Health Care and promote continuity of care, strategies were created to facilitate the exchange of information and knowledge among nurses from different units based on the partnership of care.

Date of Award	2010
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Ana Resende (Supervisor)